PET imaging detection of macrophages with a formyl peptide receptor antagonist

Yi Zhang1, Bijoy Kundu1, Min Zhong1

  • 1Department of Radiology & Medical Imaging, University of Virginia, Charlottesville, VA 22908.

Insights

A novel PET imaging agent, (64)Cu-labeled cFLFLF, effectively detects macrophages in diabetic mice, outperforming FDG for imaging pancreatic islets and atherosclerotic lesions.

Area of Science:

  • Biomedical Imaging
  • Inflammatory Diseases
  • Molecular Imaging

Background:

  • Macrophages are key inflammatory cells in chronic diseases like type 2 diabetes mellitus (T2DM) and atherosclerosis.
  • Apolipoprotein E-deficient (Apoe(-/-)) mice on a Western diet exhibit T2DM, accelerated atherosclerosis, and increased macrophage infiltration in pancreatic islets and aorta.
  • Formyl peptide receptor 1 (FPR1) is highly expressed on macrophages, making it a potential imaging target.

Purpose of the Study:

  • To evaluate the efficacy of cinnamoyl-F-(D)L-F-(D)L-F (cFLFLF), a natural FPR1 antagonist, for detecting macrophages in pancreatic islets and aorta.
  • To compare the performance of (64)Cu-labeled cFLFLF with (18)F-fluorodeoxyglucose (FDG) for PET imaging of macrophages in a T2DM mouse model.

Main Methods:

  • Administration of (64)Cu-labeled cFLFLF and (18)F-FDG to T2DM and control mice.
  • Positron Emission Tomography (PET) imaging to assess tracer uptake in various organs.
  • Flow cytometry, real-time PCR, autoradiography, and immunohistochemistry to validate macrophage presence and FPR1 expression.

Main Results:

  • Diabetic mice showed increased (18)FDG uptake in subcutaneous fat but minimal pancreatic uptake.
  • (64)Cu-cFLFLF exhibited higher retention in the pancreas and liver of diabetic mice compared to controls.
  • Diabetic mouse hearts and pancreases had more macrophages and stronger PET signals with (64)Cu-cFLFLF; FPR1 expression was significantly higher in pancreatic islets of diabetic mice.

Conclusions:

  • (64)Cu-labeled cFLFLF is a promising PET agent for detecting macrophages in T2DM and atherosclerosis.
  • This tracer demonstrates superior performance over FDG for visualizing macrophage infiltration in pancreatic islets and atherosclerotic lesions.

Related Concept Videos